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MET233

Phase 1

Obesity and Obesity-related Medical Conditions | Small molecule | Metabolic |Metsera, Inc.|Trials Updated: Jun 1, 2026

MET233 development status

Highest phase Phase 1
Registered trials 1 across 1 sponsor since Jun 2025

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials2
Total Enrollment525

FDA Designations

No designations recorded

MET233 clinical trials

MET233 · 2 trials · 2 indications

Phase 1 2
NCT06924320A Study of MET233 in Combination With MET097 in Individuals With Obesity or Overweight With or Without DiabetesObesity and Obesity-related Medical Conditions
RECRUITING381 Analytics
NCT07022977A Study of MET233 in Individuals With Obesity or OverweightObesity and Overweight
COMPLETED144 Analytics
PHASE1RECRUITING
A Study of MET233 in Combination With MET097 in Individuals With Obesity or Overweight With or Without Diabetes
Obesity and Obesity-related Medical ConditionsUnlock trial analytics
PHASE1COMPLETED
A Study of MET233 in Individuals With Obesity or Overweight
Obesity and OverweightUnlock trial analytics

Study Endpoints

Primary Endpoints

Occurrence of treatment-emergent adverse events (TEAEs)
Part A (Baseline, Day 85), Part B (Baseline, Day 155), Part C (Baseline, Day 155), Part D (Baseline, Day 218), Part E (Baseline, Day 246), Part G (Baseline, Day 274)

For Part A, B, C, D, E and G

Occurrence of Treatment Emergent Adverse Events
Part A (Baseline to Day 85), Part B (Baseline to Day 113), Part C (Baseline to Day 162), Part D (Baseline to Day 239)

Secondary Endpoints

Area under the concentration versus time curve extrapolated to infinity (AUCinf)
Part A (Baseline, Day 85)
Area under the concentration versus time curve during the dosing interval (AUCtau)
Part B (Baseline, Day 155), Part C (Baseline, Day 155), Part D (Baseline, Day 218), Part E (Baseline, Day 246), Part G (Baseline, Day 274)
Minimum observed concentration (Cmin)
Part B (Baseline, Day 155), Part C (Baseline, Day 155), Part D (Baseline, Day 218), Part E (Baseline, Day 246), Part G (Baseline, Day 274)
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Part A CohortEXPERIMENTALCohort participants will receive single co-administered ascending dose (SAD) of subcutaneous (SC) MET233 and SC MET097 or matched SC placebo.
Part B CohortEXPERIMENTALCohort Participants will receive multiple ascending dose (MAD) of co-administered SC MET233 with SC MET097 or matched SC placebo.
Part C CohortEXPERIMENTALCohort Participants will receive multiple doses of SC MET233 co-administered with SC MET097 or matched SC placebo in participants with T2DM.
Part D CohortEXPERIMENTALCohort Participants will receive multiple doses of weekly and monthly (ie, every 4 weeks \[QM\]) co-administered SC MET233 with SC MET097, or matched SC placebo in participants with obesity.
Part E CohortEXPERIMENTALCohort Participants will receive multiple dose QW-to-QM of SC MET233 co-administered with SC MET097 or matched SC placebo in participants with obesity.
Part G CohortEXPERIMENTALCohort Participants will receive multiple dose cohort of QW and QM SC MET097 monotherapy or matched SC placebo in participants with obesity or overweight.
(Part A) MET233EXPERIMENTALParticipants will receive a single dose of MET233 at up to 5 dose levels
(Part A) PlaceboPLACEBO_COMPARATORParticipants will receive a single dose of placebo
(Part B) MET233EXPERIMENTALParticipants will receive five weekly doses of MET233 at up to 4 dose levels
(Part B) PlaceboPLACEBO_COMPARATORParticipants will receive five weekly doses of placebo
(Part C) MET233EXPERIMENTALParticipants will receive twelve weekly doses of MET233 at up to 4 dose levels, followed by a 13th potential monthly dose
(Part C) PlaceboPLACEBO_COMPARATORParticipants will receive twelve weekly doses of placebo, followed by a 13th potential monthly dose
(Part D) MET233EXPERIMENTALParticipants will receive twelve weekly doses of MET233, followed by three monthly doses.
(Part D) PlaceboPLACEBO_COMPARATORParticipants will receive twelve weekly doses of placebo, followed by three monthly doses.

Interventions

NameTypeDescription
MET233 and MET097DRUGFor subcutaneous administration
PlaceboOTHERSterile 0.9% (w/v) saline for subcutaneous administration.
MET097DRUGFor subcutaneous administration
MET233BIOLOGICALFor subcutaneous administration
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: * Adult males or females aged 18 to 75 years (inclusive) at the time of screening. * BMI ≥27.0 kg/m2 and ≤38.0 kg/m2 (inclusive) at Screening for Parts A, B, and C, and ≥30.0 kg/m2 and ≤45.0 kg/m2 (inclusive) at Screening for Parts D and E. Have a BMI ≥27.0 kg/m2 and ≤45.0 kg/m2...

Countries:United States
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Frequently asked questions about MET233

What is MET233 used for?

MET233 is being developed for the treatment of obesity and overweight, as well as obesity-related medical conditions. It is an investigational small molecule that is not yet approved for any indication. Metsera, Inc. is studying it both as a single agent and in combination with MET097 in adults with obesity or overweight.

Who makes MET233?

MET233 is being developed by Metsera, Inc., which trades under the ticker MTSR. The company is advancing the program in early clinical development for obesity and overweight, including a combination study with MET097.

What phase is MET233 in?

MET233 is in Phase 1 clinical development. It has not been approved by the FDA or any other regulatory agency. The program includes a completed Phase 1 study and an ongoing Phase 1 combination study in adults with obesity or overweight.

What clinical trials is MET233 in?

MET233 has been studied in two Phase 1 trials. NCT07022977 evaluated MET233 alone in individuals with obesity or overweight and is completed. NCT06924320 is evaluating MET233 in combination with MET097 in individuals with obesity or overweight with or without diabetes and is currently recruiting.

Is MET233 the same as MET097?

No. MET233 and MET097 are distinct drug candidates. MET233 is being studied both as a monotherapy and in combination with MET097 in a Phase 1 trial for obesity and overweight. The two are separate investigational agents rather than alternative names for the same molecule.